Isaiah Avink, DC
Individual provider Active NPI Chiropractor · Wyoming, MI
NPI 1003457532 · NPPES record last updated Dec 5, 2024
Key facts
- NPI
- 1003457532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1104855006 (MI)
- Practice address
- 1586 44TH St SW
Wyoming, MI 49509-4314 - Phone
- (616) 455-7040
- NPI assigned
- Oct 7, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1586 44TH St SW
Wyoming, MI 49509-4314
Phone (616) 834-1770
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210507002012 | MI | Practitioner - Chiropractic | 3072922814 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1104855006 | MI | MD | Chiropractor |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jawad a Shah, MD PC | Current |
Accepting new patients | |
| Recovered Chiropractic | Current |
Accepting new patients | |
| Jawad a Shah MD PC | Current |
Accepting new patients | |
| Fitt Chiropractic and Wellness, PLLC | Chiropractor | Current |
Accepting new patients |
| Parkhurst Chiropractic Life Center PLC | Chiropractor | Past |
Accepting new patients |
| Michigan Chiropractic Specialists of Waterford, P.C. | Chiropractor | Past |
Accepting new patients |
Locations
4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108
4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152
4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336
21230 Dequindre Rd
Warren, MI 48091
Phone (586) 427-1000
5140 Highland Rd
Waterford, MI 48327
Phone (248) 618-3467
5601 Highland Rd
Waterford, MI 48327
Phone (248) 618-3467
1586 44th St SW
Wyoming, MI 49509
Phone (616) 455-7040
Networks
- IL HMO C-SNP
- OH PPO
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1104855006 | MI | Yes |
Addresses
Primary practice location
1586 44TH St SW
Wyoming, MI 49509-4314
Mailing address
1586 44TH St SW
Wyoming, MI 49509-4314
Phone (616) 455-7040
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.